Organization
FAMILY EYECARE ALEXIS E SCATCHELL OD
Active
Organization
FAMILY EYECARE ALEXIS E SCATCHELL OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA E SCATCHELL (AUTHORIZED OFFICIAL)
(773) 458-3230
Entity
Organization
Contact information
Practice address
5355 W DEVON AVE, CHICAGO, IL 60646-4142
(773) 930-4035
Mailing address
5355 W DEVON AVE, CHICAGO, IL 60646-4142
(773) 930-4035
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009919
—
IL
Enumeration date
05/11/2017
Last updated
02/22/2023
Update your record
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